- August 2, 2024
- Posted by: Josh Knoll
- Category: Orthotics Billing

Orthotics items are billed with 97760 and 97761 if the item is fabricated. 97763 is used for all subsequent encounters with fitting adjustments, additional training and modifications regardless if the item is custom made or fabricated. If training is completed and it alone exceeds 8 minutes, to bill an L code for the orthotic, 97760 and 97761 can only be used.
Use of the modifiers for orthotics and prosthetics items includes CG – Elastic garments. Hand orthoses billed with L3923 and spinal orthoses billed with L0450, L0454, L0625, and L0628 must use the CG modifier.
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